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DR. ELLEN COOPER JOSEPH PHD
NPI 1275088155
Psychologist - Health in Burke, VA

Active since August 19, 2016Opted out of Medicare · through Oct 16, 2026
5244 LYNGATE CT # 200, BURKE, VA 22015(703) 910-2577 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Aug 19, 2016 (2 updates tracked since 2016).

About Dr. Ellen Cooper Joseph Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLEN COOPER JOSEPH PHD (NPI 1275088155) is an individual health provider in Burke, Virginia, licensed in Virginia (0810008183) and active in the NPI registry since August 2016. She has opted out of Medicare through October 16, 2026.

NPPES Registry Identity

NPI1275088155
Entity TypeIndividualFemale
Primary Taxonomy103TH0004X
Provider Legal NameDR. ELLEN COOPER JOSEPHCredential: PHD
Location Address5244 LYNGATE CT # 200Burke, VA 22015-1631
Mailing Address8286 Wold Den CtSpringfield, VA 22153-3809 · (609) 970-0171
Phone(703) 910-2577
Sole ProprietorYes
Enumeration DateAugust 19, 2016
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1275088155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
License✔ Licensed in VA · 0810008183
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
5244 LYNGATE CT # 200, Burke, VA 22015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ellen Cooper Joseph Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 16, 2024 through October 16, 2026.

Opt-Out Effective DateOctober 16, 2024
Opt-Out In Effect ThroughOctober 16, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY WESLEY
Psychologist (Clinical)
5244 LYNGATE CT # 200
BURKE, VA 22015
Fairfax County (703) 910-2577
DR. RAYMOND ABRAHAM BRADNI PSYCHOLOGIST PHD
Psychologist (Clinical)
5244 LYNGATE CT # 200
BURKE, VA 22015
Fairfax County (703) 537-5720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Joseph's NPI number?

The NPI number for Ellen Joseph is 1275088155. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Ellen Joseph located?

Ellen Joseph practices at 5244 Lyngate Ct # 200, Burke, VA 22015. The listed phone number is (703) 910-2577.

What is Ellen Joseph's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Ellen Joseph enrolled in Medicare?

No. Ellen Joseph has opted out of Medicare through October 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ellen Joseph was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.